Billing and Coding: Home Health Occupational Therapy
National · Effective Jan 1, 2026
1 active Medicare policy lists G0160, and 10 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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National · Effective Jan 1, 2026
10 policies from 8 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of G0160 |
|---|---|---|
| Aetna Home Health Code List - Effective 01/01/2026 | Jan 1, 2026 | Prior auth required |
| Occupational Therapy | Mar 29, 2023 | Covered |
| Policy | Effective | Status of G0160 |
|---|---|---|
| Home Health | Jan 30, 2025 | Covered |
| Rehabilitative and Habilitative Services in the Home Setting: Physical Medicine/Physical Therapy, Occupational Therapy and Speech-Language Pathology | Oct 1, 2024 | Covered |
| Policy | Effective | Status of G0160 |
|---|---|---|
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of G0160 |
|---|---|---|
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of G0160 |
|---|---|---|
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of G0160 |
|---|---|---|
| Physical Therapy (PT) and Occupational Therapy (OT) Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of G0160 |
|---|---|---|
| Cigna Medicare Advantage Home Health Code List - Effective 01/01/2025 | Jan 1, 2025 | Prior auth required |
| Policy | Effective | Status of G0160 |
|---|---|---|
| The Health Plan MSK PTOT Code List - Effective 01/01/2026 | Jan 1, 2026 | Prior auth required |